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本文对16例紫癜性肾炎尿红细胞(RBC)形态动态观察,发现6例为非肾小球性血尿(变形RBC<30%),提示血尿并非由肾小球损害引起,而是由输尿管、膀胱或尿道粘膜表面出血所致,且均获痊愈。10例为肾小球性血尿(变形RBC>30%)提示肾小球损害,7例痊愈,3例遗留少量~+RBC,此3例入院时临床属肾病型,尿变形RBC持续>30%本文表明尿RBC形态动态观察有助于对泌尿系统疾患的受累部位、轻重程度、疗效、预后作出判断。
In this paper, 16 cases of purpura nephritis urinary red blood cells (RBC) dynamic morphology and found that 6 cases of non-glomerular hematuria (RBC <30% deformation), suggesting that hematuria is not caused by glomerular damage, but by the ureter, bladder Or urethral mucosal surface bleeding, and were cured. 10 cases of glomerular hematuria (deformity RBC> 30%) prompted glomerular damage, 7 cases were cured, 3 cases left a small amount of ~ RBC, the 3 cases were admitted to the clinical stage of renal disease, urinary degeneration RBC continued for> 30% This article shows that the dynamic observation of urinary RBC morphology contribute to the affected parts of the urinary system disorders, severity, efficacy, prognosis to make judgments.